Clinical reasoning and decision-making in practice. A man with jaundice, renal function disorder, trombocytopenia, muscular pain and confusion;Klinisch denken en beslissen in de praktijk. Een man met icterus, nierfunctiestoornissen, trombocytopenie, spierpijn en verwardheid

Nederlands Tijdschrift voor Geneeskunde

Volumn 148, Issue 23, 2004, Pages 1137-1141

  Huits, R M H G ^a   Van Der Werf, T S ^a   Zijlstra, J G ^a  

^a UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

DOXYCYCLINE; PENICILLIN G;

ADULT; AGRICULTURAL WORKER; ANTIBIOTIC THERAPY; ARTICLE; CASE REPORT; CLINICAL FEATURE; DIFFERENTIAL DIAGNOSIS; FLU LIKE SYNDROME; HEMOLYTIC UREMIC SYNDROME; HUMAN; INTRAHEPATIC CHOLESTASIS; JAUNDICE; KIDNEY DYSFUNCTION; LEPTOSPIRA; LEPTOSPIRA BIFLEXA; LEPTOSPIRA HARDJO; LEPTOSPIRA INTERROGANS; LEPTOSPIRA POMONA; LEPTOSPIROSIS; LEUKOCYTOSIS; LIVER DYSFUNCTION; MALE; MEDICAL DECISION MAKING; POND; SINUSITIS; THROMBOCYTE COUNT; THROMBOCYTOPENIA; THROMBOTIC THROMBOCYTOPENIC PURPURA;

ANTI-BACTERIAL AGENTS; DIAGNOSIS, DIFFERENTIAL; HUMANS; JAUNDICE; KIDNEY DISEASES; LEPTOSPIRA INTERROGANS SEROVAR ICTEROHAEMORRHAGIAE; MALE; MIDDLE AGED; THROMBOCYTOPENIA; TREATMENT OUTCOME; WEIL DISEASE; ZOONOSES;

EID: 2942588800     PISSN: 00282162     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (17)

1. Kater AP, Lelie J van der, Levi M. Trombotische microangiopathie: trombocytopenie en hemolytische anemie. Ned Tijdschr Geneeskd 2002;146:2343-7.
2. Moake JL. Thrombotic microangiopathies. N Engl J Med 2002;347:589-600.
3. Gorp EC van, Suharti C, Cate H ten, Dolmans WM, Meer JW van der, Cate JW ten, et al. Review: infectious diseases and coagulation disorders. J Infect Dis 1999;180:176-86.
4. Levett PN. Leptospirosis. Clin Microbiol Rev 2001;14:296-326.
5. Olszyna DP, Jaspars R, Speelman P, Elzakker E van, Korver H, Hartskeerl RA. Leptospirose in Nederland, 1991-1995. Ned Tijdschr Geneeskd 1998;142:1270-3.
6. Marshall RB. The route of entry of leptospires into the kidney tubule. J Med Microbiol 1976;9:149-52.
7. Yang CW, Wu MS, Pan MJ. Leptospirosis renal disease. Nephrol Dial Transplant 2001;16 Suppl 5:73-7.
8. Daher E, Zanetta DM, Cavalcante MB, Abdulkader RC. Risk factors for death and changing patterns in leptospirosis acute renal failure. Am J Trop Med Hyg 1999;61:630-4.
9. Dupont H, Dupont-Perdrizet D, Perie JL, Zehner-Hansen S, Jarrige B, Daijardin JB. Leptospirosis: prognostic factors associated with mortality. Clin Infect Dis 1997;25:720-4.
10. Edwards CN, Nicholson GD, Everard CO. Thrombocytopenia in leptospirosis. Am J Trop Med Hyg 1982;31:827-9.
11. Edwards CN, Nicholson GD, Hassell TA, Everard CO, Callender J. Thrombocytopenia in leptospirosis: the absence of evidence for disseminated intravascular coagulation. Am J Trop Med Hyg 1986;35:352-4.
12. Ren SX, Fu G, Jiang XG, Zeng R, Miao YG, Xu H, et al. Unique physiological and pathogenic features of Leptospira interrogans revealed by whole-genome sequencing. Nature 2003;422:888-93.
13. Luks AM, Lakshminaryanan S, Hirschmann JV. Leptospirosis presenting as diffuse alveolair hemorrhage: case report and literature review. Chest 2003;123:639-43.
14. Ko AI, Galvao Reis M, Ribeiro Dourado CM, Johnson jr WD, Riley LW. Urban epidemic of severe leptospirosis in Brazil. Salvador Leptospirosis Study Group. Lancet 2003;354:820-5.
15. Levett PN. Usefulness of serologic analysis as a predictor of the infecting serovar in patients with severe leptospirosis. Clin Infect Dis 2003;36:447-52.
16. Vinetz JM. A mountain out of a molehill: do we treat acute leptospirosis, and if so, with what? Clin Infect Dis 2003;36:1514-5.
17. Panaphut T, Domrongkitchaiporn S, Vibhagool A, Thinkamrop B, Susaengrat W. Ceftriaxone compared with sodium penicilline G for treatment of severe leptospirosis. Clin Infect Dis 2003;36:1507-13.